0001610574-15-000001.txt : 20150422 0001610574-15-000001.hdr.sgml : 20150422 20150422132311 ACCESSION NUMBER: 0001610574-15-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150422 DATE AS OF CHANGE: 20150422 EFFECTIVENESS DATE: 20150422 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CPF SENIOR LIVING HOLDINGS, LLC CENTRAL INDEX KEY: 0001610574 IRS NUMBER: 465519156 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-219139 FILM NUMBER: 15785107 BUSINESS ADDRESS: STREET 1: 157 PUESTA DEL SOL CITY: OSPREY STATE: FL ZIP: 34229 BUSINESS PHONE: 312-273-4752 MAIL ADDRESS: STREET 1: 157 PUESTA DEL SOL CITY: OSPREY STATE: FL ZIP: 34229 D/A 1 primary_doc.xml X0707 D/A LIVE 0001610574 CPF SENIOR LIVING HOLDINGS, LLC 157 PUESTA DEL SOL OSPREY FL FLORIDA 34229 312-273-4752 DELAWARE None None Limited Liability Company true 2014 John Rijos 157 Puesta Del Sol Osprey FL FLORIDA 34229 Executive Officer Director Director, President and Chief Executive Officer Greg Kazarian 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Executive Officer Executive Vice President and Director of Operations Mary Tolan 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Director Jonathan E. Maschmeyer 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Director Vance Vanier 400 North Michigan Avenue Suite 560 Chicago IL ILLINOIS 60611 Director Other Health Care Decline to Disclose 06b true 0001610574-14-000002 2014-05-29 true true true A subsidiary of the issuer underwent a business combination transaction in connection with this offering. 100000 Indefinite 25500000 Indefinite false 2 0 0 0 false CPF SENIOR LIVING HOLDINGS, LLC /s/ John Rijos John Rijos President and Chief Executive Officer 2015-04-22